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Genitourinary
Abnormalities
By: Kumala
Genitourinary Tract
Development
If the two mllerian ducts fail to fuse, then there are separate
uterine horns.
Mesonephric Remnant
Mesonepric or wolffian vestiges can
persist as gartner duct cysts. These
are typically located in the proximal
anterolateral vagina wall.
Intraabdominal wolffian remnant
include a few blind tubules in
mesivarium
Mullerian Abnormalities
There are four principal deformities of mullerian ducts:
1.
defective canalization
Vaginal Abnormalities
There are two types of congenital septa:
1.
2.
Cervical Abnormalities
Uterine Abnormalities
Unicornuate
Diethylstilbesterol Reproductive
Tract Abnormalities (Class VIII)
- During the 1960s, a synthetic nonsteroidal
estrogen diethylstilbestrol (DES)was used
to treat pregnant women for threatened
abortion, preterm labor, preeclampsia, and
diabetes.
- The treatment was remarkably ineffective.
- Increased risks of developing a number of
specific reproductive-tract anomalies
- Fertility issues
smaller uterine cavities, shortened upper uterine segments, Tshaped and other irregular cavities, and fallopian tube
abnormalities
- >
50
years
after
DES
use
was
proscribed
- most
affected
women
are
past
childbearing age
- higher rates of earlier menopause and
breast cancer have been reported in
exposed women
UTERINE FLEXION
Anteflexion
Retroflexion
Sacculation
Uterine Torsion
Anteflexion
Retroflexion
Posterior uterine fundal flexion in the sagittal plane.
A growing retroflexed uterus will occasionally become
incarcerated in the hollow of the sacrum.
Symptoms include abdominal discomfort, pelvic pressure,
and voiding dysfunction that may include urinary
frequency or retention.
Sacculation
Persistent entrapment of the pregnant uterus in the pelvis may lead to
extensive lower uterine segment dilatation to accommodate the fetus.
An elongated vagina passing above the level of a fetal head that is deeply
placed into the pelvis suggests a sacculation or an abdominal pregnancy.
Cesarean delivery is necessary when there is marked sacculation.
Sacculation
Uterine Torsion
Thank you..